NPI | 1174525612 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C151409) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC md035685) |
208000000X Pediatrics (Licence: CA C151409) | |
208000000X Pediatrics (Licence: PA MD419921) | |
Enumeration Date | 2005-08-15 |
Last Update Date | 2024-04-28 |